DR. JEROME EDWARD BAGNER (NPI# 1609854249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609854249 |
| Entity Type | Individual |
| Full Name | DR. JEROME EDWARD BAGNER |
| Credential | DPM |
| Practice Address |
30 Hempstead Ave Ste 158 Rockville Centre NY 11570-4033 |
| Practice Telephone | 5167646800 |
| Practice Fax Number | 5167647047 |
| Mailing Telephone | 5167646800 |
| Mailing Fax Number | 5167647047 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0022331 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00405023 | 05 |
| Street Address |
30 HEMPSTEAD AVE STE 158 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083607790 | Neal A. Sckolnick | Internal Medicine | 30 Hempstead Ave, Suite #145, Rockville Centre, NY 11570-4033 | 2005-08-27 |
| 1700302932 | Michele Anne Damo | Pharmacist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2017-08-18 |
| 1689113615 | Pamela Joyce Collins | Pharmacist | 30 Hempstead Ave, Suite 156, Rockville Centre, NY 11570-4033 | 2017-02-23 |
| 1699128983 | Brian Andres Pereira | Pharmacist | 30 Hempstead Ave, Suite 156, Rockville Centre, NY 11570-4033 | 2016-07-21 |
| 1861820722 | Valerie Garcia | Counselor | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2013-10-30 |
| 1003160292 | Jerome E. Bagner, Dpm, P.C. | Podiatrist | 30 Hempstead Ave, Suite 158, Rockville Centre, NY 11570-4033 | 2012-11-09 |
| 1134442064 | Daniel Radecker | Pharmacist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2010-03-06 |
| 1932438942 | Robert Abiuso Jr. | Occupational Therapist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2009-12-22 |
| 1205165701 | Heather Sabatino | Physical Therapist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2009-12-11 |
| 1023347523 | Rebecca T Budke | Physical Therapist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2009-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326136755 | Lawrence P Horl | Podiatrist | 61 N Park Ave, Rockville Centre, NY 11570-4105 | 2006-10-11 |
| 1689657017 | Nancy G Rozran | Podiatrist | 414 Hempstead Ave, Rockville Centre, NY 11570-2043 | 2005-11-21 |
| 1629050869 | Jay A Kerner | Podiatrist | 314 Demott Ave, Rockville Centre, NY 11570-1854 | 2005-11-15 |
| 1740283951 | Alan Silverstein | Podiatrist | 71 Lincoln Ave, Rockville Centre, NY 11570-5732 | 2005-05-23 |
| 1649253030 | David E Karpe | Podiatrist | 200 N Village Ave, Suite 101, Rockville Centre, NY 11570-2341 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.